Individual
MRS. ANAIKA DORVILIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP, FNP-C
Contact information
Practice address
8133 LEESBURG PIKE, VIENNA, VA 22182-2751
(855) 479-4217
Mailing address
15105 BEVERLY DR APT A, PHILADELPHIA, PA 19116-1410
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP029722
PA
363LF0000X
Family Nurse Practitioner
SP029722
PA
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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